Mental health screening of adolescents in pediatric practice.

This study examines routine computerized mental health screening for adolescents scheduled for a routine physical examination in a group pediatric practice. Medical records of adolescents aged 13 to 17 who were offered screening (n = 483) were reviewed. Approximately 44.7% (95% confidence interval (...

Descripción completa

Detalles Bibliográficos
Publicado en:Journal of Behavioral Health Services & Research Vol. 38; no. 2; pp. 159 - 170
Autores principales: Husky MM, Miller K, McGuire L, Flynn L, Olfson M, Husky, Mathilde M, Miller, Kathleen, McGuire, Leslie, Flynn, Laurie, Olfson, Mark
Formato: research Journal Article
Publicado: Springer Nature Apr2011
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104854035&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 104854035
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        10943412
        2WS
      jtl: Journal of Behavioral Health Services & Research
      issn: 10943412
      maglogo: N
    pubinfo:
      dt: Apr2011
      vid: 38
      iid: 2
      pid: 237
      pub: Springer Nature
      place: New York, New York
    artinfo:
      ui:
        104854035
        NLM20127189
        2010989779
        10.1007/s11414-009-9207-x
        NLM20127189
        104854035
      ppf: 159
      ppct: 11
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: Mental health screening of adolescents in pediatric practice.
      aug:
        au:
          Husky MM
          Miller K
          McGuire L
          Flynn L
          Olfson M
          Husky, Mathilde M
          Miller, Kathleen
          McGuire, Leslie
          Flynn, Laurie
          Olfson, Mark
        affil: Department of Child and Adolescent Psychiatry, New York State Psychiatric Institute, Columbia University and TeenScreen National Center for Mental Health Checkups at Columbia University, 1775 Broadway, New York, NY 10019, USA
      sug:
        subj:
          Health Screening Methods
          Mental Disorders Diagnosis
          Mental Health
          Pediatrics
          Referral and Consultation Statistics and Numerical Data
          Adolescence
          Confidence Intervals
          Female
          Human
          Male
          Office Visits
          Patient Attitudes
          Practice Patterns
          Predictive Value of Tests
          Psychological Tests
          Retrospective Design
          Wisconsin
          Adolescent: 13-18 years
          Female
          Male
      ab: This study examines routine computerized mental health screening for adolescents scheduled for a routine physical examination in a group pediatric practice. Medical records of adolescents aged 13 to 17 who were offered screening (n = 483) were reviewed. Approximately 44.7% (95% confidence interval (CI) 40.3-49.2) were screened, and 13.9% (95% CI 9.3-18.5) were identified as being at risk. Screening was associated with significantly increased odds of receiving either pediatric mental health care or a referral for specialty mental health care (adjusted odds ratio (AOR): 2.6 95% CI 1.2-5.6). Among patients who received either mental health intervention, those who were screened were significantly more likely to be referred to specialty care (AOR: 15.9 95% CI 2.5-100.4), though they were less likely to receive pediatric mental health care (AOR: 0.10 95% CI 0.02-0.54). The findings support the feasibility of routine mental health screening in pediatric practice. Screening is acceptable to many parents and adolescents, and it is associated with referral for specialized mental health care rather than care from the pediatrician.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N